Test Bank for Professional Nursing.pdf

Test Bank for Professional N Blais/Hayes, Test Item File for Professional Nursing Practice: Concepts and Perspectives, 7e Chapter 1: Beginning the Journey Question 1 Which societal changes have promoted the nurse’s return to school and further education? (Select all that apply.) 1. Patients have increasingly more complex and varied health needs. 2. Previously unknown diseases are being identified. 3. New technologies are being developed that require continual knowledge updates. 4. Patients are staying longer in the hospital. 5. There is a relative increase in the number of children in the population. Correct Answer: 1, 2, 3 Rationale: Changes in society have placed new demands on nurses. The population is aging and these older patients have more complex and varied health problems. New diseases related to social and environmental problems are being identified. Scientific discoveries and new technologies require the nurse to continually update his or her knowledge base in order to provide safe and competent care. Patients are going home from the hospital earlier (not staying longer), so much more care is being provided in community and outpatient settings. The population is aging so there is not a relative increase in the number of children in the population. Cognitive Level: Understanding Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: VI.C.1. Appreciate the necessity for all health professionals to seek lifelong, continuous learning of information technology skills. AACN Essential Competencies: I.9. Value the ideal of lifelong learning to support excellence in nursing practice. NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and constant evolution of technology. Nursing/Integrated Concepts: Planning; Nursing Process Learning Outcome: 1. Examine changes in society that promotes the nurse’s return to school for further education. Page Number: p. 1 Question 2 Which statement regarding age trends of RNs is correct? 1. The average age of persons holding RN licensure has remained the same for the last 10 years. 2. The average age of male RN graduates is decreasing while the age for female RN graduates is increasing. 3. The average age of RN graduates has increased. 4. Overall, the average age of practicing RNs has decreased. Correct Answer: 3 Rationale: The average age of RNs has increased. In 2000, the average age of RNs was 45.2 years; in 2013, the average age of RNs had increased to 50 years. There is no information in the text regarding age as it applies to gender. Cognitive Level: Understanding Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: VI.C.1. Appreciate the necessity for all health professionals to seek lifelong, continuous learning of information technology skills. AACN Essential Competencies: I.9. Value the ideal of lifelong learning to support excellence in nursing practice. NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and constant evolution of technology. Nursing/Integrated Concepts: Assessment; Nursing Process Learning Outcome: 2. Examine changes in the profession that promotes the nurse’s return to school for further education. Page Number: p. 2 Question 3 According to the 2013 National Workforce Survey, what is the highest level of educational preparation for the majority of RNs? 1. Diploma 2. Associate degree 3. Baccalaureate degree 4. Master’s degree Correct Answer: 3 Rationale: According to The 2013 National Nursing Workforce Survey of Registered Nurses by the National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers, 8% of nurses hold a diploma, 29% of nurses hold an associate degree, 36% of nurses hold a baccalaureate degree, and 13.9% of nurses hold a master’s or doctoral degree as their highest level of educational preparation. Cognitive Level: Remembering Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: VI.C.1. Appreciate the necessity for all health professionals to seek lifelong, continuous learning of information technology skills. AACN Essential Competencies: I.9. Value the ideal of lifelong learning to support excellence in nursing practice. NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and constant evolution of technology. Nursing/Integrated Concepts: Assessment; Nursing Process Learning Outcome: 2. Examine changes in the profession that promotes the nurse’s return to school for further education. Page Number: pp. 3–4 Question 4 How have the practice settings for nurses changed since 1980? 1. There has been little or no change in these settings. 2. The settings have shifted from the community to the hospital. 3. There has been a shift from the hospital to long-term care settings. 4. They have shifted from acute-care to community or primary care settings. Correct Answer: 4 Rationale: The focus of professional nursing practice is shifting from acute hospitalbased illness care to primary outpatient-based community care, emphasizing health promotion and illness/injury preventions. The percentage of RNs working in hospitals decreased from 66% in 1980 to 56.2% in 2004. Cognitive Level: Understanding Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: VI.C.1. Appreciate the necessity for all health professionals to seek lifelong, continuous learning of information technology skills. AACN Essential Competencies: II.3. Demonstrate an awareness of complex organizational systems. NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and constant evolution of technology. Nursing/Integrated Concepts: Planning; Nursing Process Learning Outcome: 2. Examine changes in the profession that promotes the nurse’s return to school for further education. Page Number: p. 2 Question 5 What statement about specialty certification in nursing is true? 1. Specialty certification guarantees increase in salary for the nurse. 2. Healthcare agencies rarely recognize certifications by nursing specialty groups. 3. The nurse who works in hospital practice must hold at least one specialty certification. 4. The nurse must demonstrate extensive experience and continuing education in the specialty area. Correct Answer: 4 Rationale: To be eligible to take the certification exam, the nurse must demonstrate extensive experience and continuing education in the specialty area. Although there is no guarantee that the nurse’s salary will be increased, healthcare agencies do recognize these certifications. There is no requirement that the nurse hold a specialty certification to work in a hospital; however, work in specialty areas, such as the emergency department, critical care areas, or surgery, may require certification. Cognitive Level: Understanding Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: VI.C.1. Appreciate the necessity for all health professionals to seek lifelong, continuous learning of information technology skills. AACN Essential Competencies: I.9. Value the ideal of lifelong learning to support excellence in nursing practice. NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and constant evolution of technology Nursing/Integrated Concepts: Assessment; Nursing Process Learning Outcome: 2. Examine changes in the profession that promotes the nurse’s return to school for further education. Page Number: p. 6 Question 6 The nurse has been promoted from staff nurse to supervisor and is trying to make a transition to the new role. Which behavior reflects that the nurse is in the ending phase of Bridges’ model of transition? 1. The nurse is working to move forward in the job, avoiding the temptation of going back to familiar ways of thinking. 2. The nurse is beginning to accept the responsibilities of the new position. 3. The nurse has accepted that relationships with former peers on the unit will change. 4. The nurse questions the wisdom of accepting the new position. Correct Answer: 4 Rationale: Bridges’ model of transition consists of three phases. The first phase, called the ending phase, consists of the individual “letting go” of the old situation. This phase consists of four components: disengagement, disidentification, disenchantment, and disorientation. The nurse who is questioning the wisdom of accepting the new position is in the letting go phase of disorientation. The second phase, neutral zone, is exemplified in this question by the nurse beginning to accept the responsibilities of the new position and accepting that relationships with former peers will change. As the nurse works to move forward in the job, resisting the temptation to go back to familiar ways of thinking and working, the nurse has moved into the final stage of transition, new beginnings. Cognitive Level: Analyzing Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: VI.C.1. Appreciate the necessity for all health professionals to seek lifelong, continuous learning of information technology skills. AACN Essential Competencies: I.9. Value the ideal of lifelong learning to support excellence in nursing practice. NLN Competencies: Context and Environment; Knowledge; Impact of continual knowledge explosion and constant evolution of technology. Nursing/Integrated Concepts: Assessment; Nursing Process Learning Outcome: 3. Apply models of transition to professional role change. Page Number: p. 7